1. What information provides the nurse with accuracy when developing a
nursing diagnosis?
a. A set of lab values
b. Abnormal diagnostic tests
c. A set of clinical cues
d. Specific nursing interventions
CORRECT ANSWER: C
Feedback:
Each piece of patien t information is considered a clinical cue; a set of
clinical cues forms a cluster that is present if the diagnosis is accurate.
2. What is meant by impaired state of equilibrium?
a. It describes the patients condition
b. It is common terminology
c. It is a nursing diagnosis
d. It assists in planning care
CORRECT ANSWER: A
Feedback:
Descriptors such as impaired state of equilibrium describe changes in
condition, state of the patient, or some qualification of the specific
nursing diagnosis.
, 3. What gives addition al meaning to a nursing diagnosis?
a. Composition
b. Descriptors
c. Dysfunction
d. Qualifications
CORRECT ANSWER: B
Feedback:
Descriptors are words used to give additional meaning to a nursing
diagnosis.
4. What does the nursing diagnosis represent?
a. Symptoms
b. Signs
c. Cues
d. Maladaptation
CORRECT ANSWER: C
Feedback:
Each nursing diagnosis represents a pattern of related patient cues.
5. In the development of a nursing diagnosis for a patient who has cachexia
and decreased weight, what would be an appropriate nursing diagnosis?
a. Anorexia nervosa and bulimia
b. Lack of adequate nutrition related to decreased calories
c. Weight loss related to abdominal discomfort
d. Imbalanced nutrition: less than body requirements